Response to Chronis-Tuscano et al. and Arns and Strehl

Sonuga‐Barke, Edmund; Brandeis, Daniel; Cortese, Samuele; Daley, David; Danckaerts, Marina; Döpfner, Manfred; Ferrín, Maite; Holtmann, Martin; Oord, Saskia Van der

doi:10.1176/appi.ajp.2013.13020208r

Cited by 32 publications

(33 citation statements)

References 8 publications

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“…Controlling for medication changes (through sensitivity analysis) was indeed considered important and part of the authors' protocol, 11 but required a larger number of probably blinded studies. 51 The lack of standards regarding neurofeedback protocols is even more problematic for the field. Controlled studies on the optimal frequency bands, scalp sites, feedback timings, and thresholds are largely lacking, and clinical practice is still based on early animal studies and divergent clinical experience without control.…”

Section: Methodological Issuesmentioning

confidence: 99%

Neurofeedback for ADHD

Holtmann

Sonuga‐Barke

Cortese

et al. 2014

Child and Adolescent Psychiatric Clinics of North America

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108

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KEYWORDS ADHD Treatment Neurofeedback Slow cortical potentials Frequency bands Reward KEY POINTSAmong alternative treatment approaches for attention-deficit/hyperactivity disorder (ADHD), neurofeedback has gained empirical support in recent years.Via neurofeedback, children with ADHD are trained to regulate their neurophysiologic profile or to bring it closer to that of nonaffected children; learning of self-regulation is thus a key mechanism.According to recent meta-analytic evidence, neurofeedback leads to significant decreases of ADHD core symptoms; however, if only probably blinded ratings are applied, these effects were reduced to a statistical trend. The evidence remains inconclusive because subsequent studies could demonstrate neither learning of self-regulation nor significant effects for the best blinded assessments.There is a strong need for more evidence from well-blinded, methodologically sound, and sensitive trials demonstrating also learning of self-regulation, before neurofeedback can be assigned the highest level of evidence as a front-line treatment of ADHD. ContinuedChild Adolesc Psychiatric Clin N Am -(2014) ---http://dx

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Section: Methodological Issuesmentioning

confidence: 99%

Neurofeedback for ADHD

Holtmann

Sonuga‐Barke

Cortese

et al. 2014

Child and Adolescent Psychiatric Clinics of North America

Self Cite

108

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“…A recent meta-analysis regarding nonpharmacologic interventions for ADHD concluded that increased evidence is needed for both neurofeedback and CT interventions before they can be supported as treatments for ADHD. 27 The current study is novel for several reasons. The research team conducted the first in-school translational efficacy trial comparing neurofeedback, CT, and control conditions.…”

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confidence: 99%

In-School Neurofeedback Training for ADHD: Sustained Improvements From a Randomized Control Trial

et al. 2014

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WHAT'S KNOWN ON THIS SUBJECT: An estimated 9.5% of children are diagnosed with attention-deficit/hyperactivity disorder (ADHD), which affects academic and social outcomes. We previously found significant improvements in ADHD symptoms immediately after neurofeedback training at school. WHAT THIS STUDY ADDS:This randomized controlled trial included a large sample of elementary school students with ADHD who received in-school computer attention training with neurofeedback or cognitive training. Students who received neurofeedback were reported to have fewer ADHD symptoms 6 months after the intervention. abstract OBJECTIVE: To evaluate sustained improvements 6 months after a 40-session, in-school computer attention training intervention using neurofeedback or cognitive training (CT) administered to 7-to 11-year-olds with attention-deficit/hyperactivity disorder (ADHD). METHODS:One hundred four children were randomly assigned to receive neurofeedback, CT, or a control condition and were evaluated 6 months postintervention. A 3-point growth model assessed change over time across the conditions on the Conners 3-Parent Assessment Report (Conners 3-P), the Behavior Rating Inventory of Executive Function Parent Form (BRIEF), and a systematic double-blinded classroom observation (Behavioral Observation of Students in Schools). Analysis of variance assessed community-initiated changes in stimulant medication.RESULTS: Parent response rates were 90% at the 6-month follow-up. Six months postintervention, neurofeedback participants maintained significant gains on Conners 3-P (Inattention effect size [ES] = 0.34, Executive Functioning ES = 0.25, Hyperactivity/Impulsivity ES = 0.23) and BRIEF subscales including the Global Executive Composite (ES = 0.31), which remained significantly greater than gains found among children in CT and control conditions. Children in the CT condition showed delayed improvement over immediate postintervention ratings only on Conners 3-P Executive Functioning (ES = 0.18) and 2 BRIEF subscales. At the 6-month follow-up, neurofeedback participants maintained the same stimulant medication dosage, whereas participants in both CT and control conditions showed statistically and clinically significant increases (9 mg [P = .002] and 13 mg [P , .001], respectively).CONCLUSIONS: Neurofeedback participants made more prompt and greater improvements in ADHD symptoms, which were sustained at the 6-month follow-up, than did CT participants or those in the control group. This finding suggests that neurofeedback is a promising attention training treatment for children with ADHD. Pediatrics 2014;133:483-492 AUTHORS:

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“…The latest conducted Dutch RCT applying a RED was published in The Lancet [15] and was both applauded as N. Rommelse (&) Á J. Buitelaar Nijmegen, Netherlands e-mail: N.Lambregts-Rommelse@psy.umcn.nl well as criticized in scientific and public media [19][20][21]. It is thus far the largest study conducted of this kind, in ADHD patients not selected for an atopic constitution or presence/absence of comorbidities, and with a rigorous attempt to investigate possible immunological mechanisms underlying response to RED.…”

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confidence: 99%

“…Do they feel stigmatized and isolated since they have to obey strict rules and regulations about diet habits that will likely differ from those observed by their peers? A recent meta-analysis excluded the Dutch studies because the effect sizes were significanty larger than the other studies of this kind [21]. Excluding outliers in meta-analyses is not generally considered to be the standard approach as outliers may actually ''reveal patterns that may lead to new insights about study characteristics that could be acting as potential moderators, i.e.…”

mentioning

confidence: 99%